HomeMy WebLinkAbout2005-P09419 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po9419
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
11/14/2005
SITE ADCFRESS: 3843 Cherry Ave Unit#
Mound,MN 55364
PID: 08-117-23-33-0040
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Plus Gas Line For Stove in Kitchen&Fireplace Living&Washer Dryer&Furnace
FEE SUMMARY: Pernut Fee: $ 75.00 valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 7$.00
APPLICANT: Owner/Self OWNER: Todd&Tonja Miemer
MN 3843 Cherry Ave
Mound,MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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P ANT PERMITEE SIG T RE SUED BY SIGNATURE
Copies: 1-Fil e(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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�� FOR CITY USE ONLY
,�` City of Orono
4�`�' P.O.Box 66 Date Received: Permit#
��,;.,,,, �� 2750 Kelley Parkway
,����;�`�: �* Crystal Bay,MN 55323 Approved By: Amount$:
�'� �Qy.��'�i.�.o~ (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pern�its must be approved by the 13uilding Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERl��IT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi2ns—Complete calculations, details and specifications are required for each
heating,ventilation,hunudification-dehumidification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to
type, manufacturer and model. Data shall be presented on forin provided.
4. When any new consri�uction or remodeling is involved, a separate building pernut must be
obtained.
�. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Appl )
�Residential ❑ Conunercial(Approval Required)
❑ I`ew ❑ Additional ❑ Repairs �Replace
Job Site/ Owner Information: �
Site Address: ��� (' .��-1��{ ��� i � �-C.�'����. I��
Owner: �C��� (�� ���MailingAddress: �-�GL�� ��a-'H �L�'� �-'(J.
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City: �l-+t��C 1v�v(7 Zip: �� _� 3 3 ►
Home Phone: �p� 2 ' ��Z '�'z� Alternate Phone:
Contractor Inforn7ation:
Contractor: `' Contact Person:
��, �
Address: �� �" � State Bond #:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
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MECHANICAL SYSTEMS BEING 1NSTALLED �
HEATING SYSTEMS
Quantity: ' "
Make: — �a���
Model: ���p R�OG�� ���
FueL �����I �Q
Flue Size: ��� �V ,
Input BTUs:
Output BTUs: >
CFM: 2—� ���
COOLING SYSTEMS
Quantity: �
Make: � � �U(j�u
Model: V J 3 ��� -�V}—�c
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Tons:
H. Power
FIREPLACES
�..' Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: U j J � �� Model No.: �2�� �� �.Q,� ���T
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
No. �_ Bath Exhaust(must have duct outside) cfm
� No. ( Other Fans: Locations �y`l�,Q/�/ cfm
�
FUE�STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE O:vLY
❑ Outdoor Grill � Other/List VJhat d: Where: �,j tvJ�'-- —f—i �'��►�
�j��� �'la � - �..►s���-
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
., ❑ � Yes, this section applies �
The replacement of a Residential fisture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin�the cost of the fiature or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed conri�actor.
Skip ne�t section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee (If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)-JOBS UVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conn•act price with a(Minimum Fee of$35.00)
�j I Q��� x .0125 $ �� r �-5�
(contract price) (minimui�i$3�.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge (�linimum Fee of$.50)
�� CST�/-L% x.0005 $ ���: C��
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � ��' ��
n * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar anlount charged for the
pernutted work including materials, labor, profit, and other fixed costs. It is the amotmt to be charged
to the customer for the work done. If any material, equipment, labor or installations are fiirnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or conh�act price for pernut fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
a �`* The STATE SURCHARGE is .000� of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct. �
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A licant's Sid at . %1, Date: � � ���
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED ��4� __G��
PERMIT NO. COMPLETED
ADDRESS _��� [�h.JI�CI
OWNER /�� � NTR.
TELEPHONE NO. ��� ` 7G�o� � �CD�
� DESCRIPTION /�� � ���'L'�`
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINA� 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING R� 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMME TS:
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W ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ,; pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne�Ct inspection 24 hours in advance. �952� 249-46QQ
Owner/Contr�on��t -
Inspector. � `' �
White Copyllnspector's File Canary CopylSite Notice l�'^
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� � DAT TIME �
� �
CITY OF ORONO CALLED IN I�
INSPECTION N ,/ SCHEDULED � �
PERMIT NO. `�1 COMPLETED
ADDRESS �
OWNER ��.�-Q �P�C.� ONTR.
TELEPHONE NO. �O I Z 7D Z ��p Z,S�
� DESCRIPTION_�/"l C(�{'V ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next i pection 24 hours in advance. (952� 249-4600
OwnerlContract t •
Inspector.
White Copyllnspector's File Canary CopylSite Notice